NPI | 1790346724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2019022517) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019022517) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2021-06-17 |